_dta: 1. bencs2015 data set up by Jean Roth , jroth@nber.org , 9 Dec 2017 2. NBER URL: http://www.nber.org/data/cms-health-insurance-marketplace-public-use-files.html 3. Source Page: http://download.cms.gov/marketplace-puf/2015/benefits-and-cost-sharing-puf.zip 4. Source File URL: https://www.cms.gov/CCIIO/Resources/Data-Resources/marketplace-puf.html businessyear: 1. Year for which plan provides coverage to enrollees statecode: 1. Two-character state abbreviation indicating the state where the plan is offered issuerid: 1. Five-digit numeric code that identifies the issuer organization in the Health Insurance 2. Oversight System (HIOS) sourcename: 1. Categorical identifier of source of data import versionnum: 1. Integer value for version of data import importdate: 1. Date of data import issuerid2: 1. Five-digit numeric code that identifies the issuer organization in HIOS 2. Equal to IssuerId field statecode2: 1. Two-character state abbreviation indicating the state where the plan is offered 2. Equal to StateCode field standardcomponentid: 1. Fourteen-character alpha-numeric code that identifies an insurance plan within 2. HIOS planid: 1. Seventeen-character alpha-numeric code that identifies an insurance plan's cost sharing 2. reduction variant within HIOS 3. Character count includes '-' benefitname: 1. Name assigned to benefit copayinntier1: 1. Dollar amount for In Network Copay for Tier 1 for a benefit 2. This field is only required for covered benefits; field will usually be blank for 3. benefits that are not covered but could contain a value; copay amount applies to each 4. enrollee copayinntier2: 1. Dollar amount for In Network Copay for Tier 2 for a benefit 2. This field is only required for covered benefits and plans with multiple in network 3. tiers; field will usually be blank for benefits that are not covered but could contain 4. a value; copay amount applies to each enrollee copayoutofnet: 1. Dollar amount for Out of Network Copay for a benefit 2. This field is only required for covered benefits; field will usually be blank for 3. benefits that are not covered but could contain a value; copay amount applies to each 4. enrollee coinsinntier1: 1. Numeric value for In Network Coinsurance percentage for Tier 1 for a benefit 2. This field is only required for covered benefits; field will usually be blank for 3. benefits that are not covered but could contain a value; coinsurance amount applies to 4. each enrollee coinsinntier2: 1. Numeric value for In Network Coinsurance percentage for Tier 2 for a benefit 2. This field is only required for covered benefits and plans with multiple in network 3. tiers; field will usually be blank for benefits that are not covered but could contain 4. a value; coinsurance amount applies to each enrollee coinsoutofnet: 1. Numeric value for Out of Network Coinsurance percentage for a benefit 2. This field is only required for covered benefits; field will usually be blank for 3. benefits that are not covered but could contain a value; coinsurance amount applies to 4. each enrollee isehb: 1. Categorical indicator of whether benefit is considered an essential health benefit 2. Blank values are equivalent to No isstatemandate: 1. Categorical indicator of whether benefit is required by state 2. Blank values are equivalent to No iscovered: 1. Categorical indicator of whether benefit is covered by the insurance plan 2. Blank values are equivalent to Not Covered quantlimitonsvc: 1. Categorical indicator of whether benefit has a quantitative limit 2. This field is only required for covered benefits; blank values are equivalent to No limitqty: 1. Numeric value for coverage limit on the benefit 2. This field is required if QuantLimitOnSvc field equals Yes limitunit: 1. The unit of measure for the coverage limit on the benefit 2. This field is required if QuantLimitOnSvc field equals Yes minimumstay: 1. Numeric value for the minimum number of hours of in-patient care that a patient must be 2. provided for this benefit 3. This field is optional; blanks indicate a value was not provided exclusions: 1. The list of services or diagnoses that are excluded from the benefit 2. This field is optional; blanks indicate a value was not provided; field could be truncated 3. at 256 characters if exported to Excel or Access explanation: 1. Notes provided to further clarify benefit coverage limits or exclusions 2. This field is optional; blanks indicate a value was not provided; field could be 3. truncated at 256 characters if exported to Excel or Access ehbvarreason: 1. The justification for not using the prepopulated EHB benefit information from the 2. template 3. This field is only required if the issuer made changes to the prepopulated template 4. values issubjtodedtier1: 1. Categorical indicator of whether the enrollee is required to pay a Tier 1 deductible 2. for this benefit issubjtodedtier2: 1. Categorical indicator of whether the enrollee is required to pay a Tier 2 deductible 2. for this benefit isexclfrominnmoop: 1. Categorical indicator of whether the cost associated with this benefit is excluded 2. from the in network maximum out-of- pocket payment total isexclfromoonmoop: 1. Categorical indicator of whether the cost associated with this benefit is excluded 2. from the out of network maximum out-of- pocket payment total rownumber: 1. Integer value for template row number associated with this data record 2. Unavailable for some templates obs: 2,079,286 vars: 32 9 Dec 2017 02:49 size: 5,018,822,301 (_dta has notes) -------------------------------------------------------------------------------------------------------------------------------------------------- storage display value variable name type format label variable label -------------------------------------------------------------------------------------------------------------------------------------------------- businessyear int %8.0g * Business Year statecode str2 %9s * State Code issuerid long %12.0g * Issuer ID sourcename str5 %9s * Source Name versionnum byte %8.0g * Version Number importdate str16 %16s * Import Date issuerid2 long %12.0g * Issuer ID statecode2 str2 %9s * State Code standardcomponentid str14 %14s * Plan ID planid str17 %17s * Plan ID (Standard Component ID with benefitname str146 %146s * Benefit Name copayinntier1 str29 %29s * Copay In Network (Tier 1) copayinntier2 str29 %29s * Copay In Network (Tier 2) copayoutofnet str30 %30s * Copay Out of Network coinsinntier1 str33 %33s * Coinsurance In Network (Tier 1) coinsinntier2 str32 %32s * Coinsurance In Network (Tier 2) coinsoutofnet str33 %33s * Coinsurance Out of Network isehb str3 %9s * EHB Indicator isstatemandate str3 %9s * State Required Benefit Indicator iscovered str11 %11s * Is this Benefit Covered? quantlimitonsvc str3 %9s * Quantitative Limit on Service limitqty long %12.0g * Limit Quantity limitunit str31 %31s * Limit Unit minimumstay byte %8.0g * Minimum Stay exclusions str1906 %1906s * Exclusions explanation strL %9s * Benefit Explanation ehbvarreason str26 %26s * EHB Variance Reason issubjtodedtier1 str3 %9s * Is Subject to Deductible Tier 1 issubjtodedtier2 str3 %9s * Is Subject to Deductible Tier 2 isexclfrominnmoop str3 %9s * Is Excluded from In Network MOOP isexclfromoonmoop str3 %9s * Is Excluded from Out of Network MOOP rownumber int %8.0g * Row Number * indicated variables have notes -------------------------------------------------------------------------------------------------------------------------------------------------- Sorted by: